Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.10 / $1,159.00 / $4,634.00	Facility		$337.10	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $245.99 / $416.17	Professional		$182.06	$245.99	$416.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.67 / $987.38 / $3,711.38	Facility		$608.67	$987.38	$3,711.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $287.81 / $427.15	Professional		$218.30	$287.81	$427.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $468.97 / $1,000.00	Facility		$300.00	$468.97	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $299.29 / $468.25	Professional		$201.10	$299.29	$468.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.65 / $363.85 / $947.14	Professional		$234.65	$363.85	$947.14
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $235.52 / $341.98	Professional		$223.99	$235.52	$341.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $386.70	Professional		$32.34	$32.34	$386.70
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $326.75 / $551.11	Professional		$239.14	$326.75	$551.11